ArticleEndoscopy2023
The carbon footprint of ambulatory gastrointestinal endoscopy.
Article in Endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Smart-gloves Hand Motion Tracking for Live Endoscopic Submucosal Dissection Training: a Randomized, Comparative Study
The Carbon Footprint Study of Colonoscopy for Colorectal Cancer Screening and Various Techniques of Colonic Polypectomy
Six Versus Twelve Month SurveillAnce Following Resection of Nonpedunculated ColorectaL Polyps 20-50 mm IN Size Without High Grade Dysplasia (HGD)
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Environmental footprint of gastrointestinal endoscopy services: a systematic review.Endoscopy · 2026Pooled it
- Systematic Review: Ultrasound Goes Echo-Decarbonising Inflammatory Bowel Disease Care Through Intestinal Ultrasound.Alimentary pharmacology & therapeutics · 2025Pooled it
- Sustainability indicators for gastrointestinal endoscopy: a framework proposed by the Canadian Association of Gastroenterology and the American Society for Gastrointestinal Endoscopy.Journal of the Canadian Association of Gastroenterology · 2026Article
- Opportunities to reduce the environmental impact of endoscopy: a detailed material flow analysis of diagnostic colonoscopy.Endoscopy · 2026Article
- Environmentally friendly pediatric gastroenterology: a narrative review.European journal of pediatrics · 2026Review
- Comparative environmental impact analysis of screening tests for colorectal cancer: a single-centre life cycle assessment.BMJ public health · 2026Article
- Cutting waste in endoscopy: a multicentre observational study in the German healthcare system.Gut · 2025Observational
- The Environmental Consequence of Early Colorectal Cancer Detection: A Literature Review of the Environmental Impact Assessment of Colorectal Cancer Diagnostic Pathways.International journal of environmental research and public health · 2025Review
- Environmental sustainability in healthcare: impacts of climate change, challenges and opportunities.Singapore medical journal · 2025Review
- Carbon footprint awareness scale (CFAS): validity and reliability study on university students.Scientific reports · 2025Article
- Current status and trends of green endoscopy.Clinical endoscopy · 2025Review
- Carbon emissions from clinical activities by speciality in secondary and tertiary care in England: an exploratory cross-sectional analysis of routine administrative data.The Lancet regional health. Europe · 2025Article
- Environmental footprint of a colonoscopy procedure: Life cycle assessment.Endoscopy international open · 2025Article
- Delphi consensus statement for the management of delayed post-polypectomy bleeding.Therapeutic advances in gastroenterology · 2025Article
- Colon capsule endoscopy: Can it contribute to green endoscopy?World journal of gastrointestinal endoscopy · 2024Article
- Gastric Juice Biomarkers in Gastric Cancer: New Trends?Maedica · 2024Article
- The Carbon Footprint of Hospital Services and Care Pathways: A State-of-the-Science Review.Environmental health perspectives · 2024Review
- The carbon footprint of French hospital ophthalmology consultations.Eye (London, England) · 2024Article
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Authors and funding
13 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopy is considered the third highest generator of waste within healthcare. This is of public importance as approximately 18 million endoscopy procedures are performed yearly in the USA and 2 million in France. However, a precise measure of the carbon footprint of gastrointestinal endoscopy (GIE) is lacking.
methodsThis retrospective study for 2021 was conducted in an ambulatory GIE center in France where 8524 procedures were performed on 6070 patients. The annual carbon footprint of GIE was calculated using "Bilan Carbone" of the French Environment and Energy Management Agency. This multi-criteria method accounts for direct and indirect greenhouse gas (GHG) emissions from energy consumption (gas and electricity), medical gases, medical and non-medical equipment, consumables, freight, travel, and waste.
resultsGHG emissions in 2021 were estimated to be 241.4 tonnes CO
conclusionsThis is the first multi-criteria analysis assessing the carbon footprint of GIE. It highlights that travel, medical equipment, and energy are major sources of impact, with waste being a minor contributor. This study provides an opportunity to raise awareness among gastroenterologists of the carbon footprint of GIE procedures.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.